Raul Alfonso, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11034028 Issued in FL

Practice address

6091 S Pointe Blvd
Fort Myers, FL 33919-4899

Phone

(239) 466-2020

Fax

(239) 985-7118

NPI assigned

Jul 16, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Mississippi-TCG, Inc.Group PAC ID 2961881503, 14 clinicians

M and H Med Housecalls LLCGroup PAC ID 2961750146, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• M & H Med Housecalls, LLC

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1427548304
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Mississippi-TCG, Inc.

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1386122877

  FL

  Medicare reassignment Care Compare group NPD
• Cape Coral Hospitalists Inc

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1336209790
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providia Home Care LLC.

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1053159889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077530",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 S POINTE BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194899",
            "telephone_number": "239-466-2020",
            "fax_number": "239-985-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Del Prado Blvd N",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339092702",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "RAUL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayana Lien Alfonso Perez
• Massiel Carolina Alfonso-Folden, APRN
• Adelaida D Alfonso, APRN
• Gabriela Beatriz Alfonso, MS, RDN, LDN
• Melissa Alfonso, APRN
• Charlene Lynn Alford-Mercier, D.O.
• Keionii Alford
• Buthaina Saleh Alhaddad
• Hamdi Alhaddad
• Ali Therapy Care Inc

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.